Analysis on Trauma Patients in Different Application System of Transfusion.
- Author:
Dae han WI
1
Author Information
1. Department of Emergency Medicine, School of Medicine, Wonkwang University, Iksan, Korea. great@wonkwang.ac.kr
- Publication Type:Original Article
- Keywords:
Blood Transfusion;
Multiple Trauma
- MeSH:
Blood Pressure;
Blood Transfusion;
Emergencies;
Emergency Service, Hospital;
Humans;
Multiple Trauma;
Retrospective Studies
- From:Journal of the Korean Society of Emergency Medicine
2007;18(6):529-536
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Patients who are hemodynamically unstable because of severe trauma may require very early transfusion during their care in the emergency center. I employed a four-level scoring system in order to shorten the interval from evaluation to treatment in early transfusion. METHODS: Trauma patients receiving transfusions, who visited our emergency center from May 2003 to December 2006 were retrospectively recruited. The scoring system consisted of four levels; "most urgent" or level I, "urgent" or level II, "emergent" or level III and "routine" or level IV. Type O/Rh(+) bloods were transfused for the most urgent level, type-specific bloods were transfused for the urgent level, type-specific and incompletely cross-matched bloods were transfused for the emergent level, and fully crossmatched bloods were transfused for the routine level. RESULTS: The mean interval from evaluation to treatment with transfusion was 4.4+/-1.8 min in the most urgent group, 15.5+/-8.4 min in the urgent group, 36.4+/-17.3 min in the emergent group, and 70.5+/-25.9 min in the routine group. The cut-off values ware < or =90 mmHg for systolic blood pressure, < or =6.9 for revised trauma score, and > or =4.5 for emergency room transfusion score. CONCLUSION: Establishment of a four-tiered scoring system for treatment of severe trauma patients by early transfusion was successful in shortening the interval between evaluation and initiation of transfusion. Patients who do not meet cut-off values require careful observation.
